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THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL INC. NPI 1194891010


NPI Information

NPI: 1194891010
Provider Name: THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.

Doing Business As: ST. LUKE'S MINERS MEMORIAL HOSPITAL ER

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
360 W RUDDLE ST
COALDALE, PA
ZIP 18218
Phone: (570) 645-8127
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THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. is an emergency medicine in Coaldale, PA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. NPI is 1194891010. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Miners Memorial Hospital Er.

The provider's business location address is:

360 W RUDDLE ST
COALDALE, PA
ZIP 18218-027
Phone: (570) 645-8127
Fax: (570) 645-8148

The provider's authorized official is Thomas Lichtenwalner .
The authorized official title is Associate Vp Finance and has the following contact phone number (610) 954-3383.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 1/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007454700008MEDICAIDPENNSYLVANIA
2178775MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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